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Re: Fibroid treatment, heavy bleeding ADDED INFO PLEASE HELP!From: Ali (anonymous@obgyn.net)Fri, 22 Sep 2000 08:31:42 -0500 (CDT)
At Thu, 21 Sep 2000, Ali wrote: > >At Thu, 21 Sep 2000, Lynn D. Montgomery, MD wrote: >> >>At Thu, 21 Sep 2000, Ali wrote: >>> >>>I am still working on getting the uterine artery embolization, I have 3 >>>intramural fibroids (size: about 3, 2, 2 cm diameter). >>>I was bleedind a lot about 8 days ago, they put me on Aygestin 5 mg. I >>>was OK for a few days, now I am bleeding again. This is time of my >>>regular period, so I don't know. I am passing clots. >>>We consulted another doctor who said the bleeding is not because of >>>fibroids! Since they are intramural, there is no reason to bleed. >>>I don't know what to do, where to go. I am tired, bleeding is on and >>>off since June 20th, I am in pain most of the time, there is no way I >>>can do my regular activities (aerobics), any stress causes more >>>bleeding. I was on Progesterone, that made me sick. I am also gaining >>>weight. >>>What do you think about the cause of bleeding? Do you think uter. art. >>>embol. is going to help the bleeding? >>>Oh, I am 44, my blood tests show no signs of menopause. >>> >>>Thank you very much, >>> >>>A. >> >>A., >>I would agree with the docs that doubt the fibroids are causing the >>bleeding. The likely cause is something else. Have you had the benefit >>of a hysteroscopy/D&C or both. It is rather important to determine the >>cause rather than just going and embolizing arteries willy nilly. >>I would seek out another opinion-one who will seek the cause rather than >>just attempt to throw something on the fire hoping that it will put it >>out... >>Lynn >> >>-- >>Lynn D. Montgomery, MD >>Director, Maternal-Fetal Medicine >>Rocky Mountain Perinatal Center >>Missoula, Montana > >Thank you very much for your answer. What do you think about this? I >had operative laparoscopy 1 month ago: > >POSTOPERATIVE DIAGNOSIS: Pelvic adhesions, leiomyomatous uterus, pending >pathology, endometrial polyps > >OPERATION: >1. Operative laparoscopy with lysis of adhesions >2. Operative hysteroscopy with polypectomy >3. Dilation and curettage > >INDICATIONS AND FINDINGS: At the time of hysteroscopy the patient had a >grossly retroverted uterus with normal cavity. Polypoid areas were >biopsied as was the underlying myometrium to rule out adenomyosis. The >endometrium was curetted. The endometrial cavity sounded to 9 cm. >Laparoscopic findings including large bowel adhesions to the patient's >right lower quadrant consistent with prior pelvic surgery were >appreciated. Both ovaries were visualized and found to be normal. There >was no evidence of malignancy, endometriosis or gross infection. > >.....Using blunt and sharp dissection the adhesions were lysed, however, >thick adhesions overlying the colon prevented further dissection. Both >ovaries were visualized and found to be normal. The uterus was enlarged >to the size of a 12 week gestation and had multiple intramural >leiomyomata. There was no evidence of malignancy and no evidence of >endometriosis. The enlarged myoma was biopsied with a true cut needle >to rule out sarcoma. > >>**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions. >> >>**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response. >> >>**Thank you for your understanding ;-) >>
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